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09-9601
CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813)780 -0020 9601 BUILDING PERMIT d :€ °° k"€ 1 ;1` ! -. 11;:g4 �a:•. � 5; q isva M`s ,e` Permit Number: 9601 Address: 39125 OLD M ILL LN Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SUMMERHILL Est. Value: Parcel Number: 12- 26 -21- 0100 - 00000 -0320 Improv. Cost: 3,700.00 Date Issued: 10/01/2009 Name: BROWN, RONALD SR & VICTORIA MARY Total Fees: 50.00 Address: 39125 OLD MILL LN Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/01/2009 Phone: (352)521 -4977 Work Desc: NC CHANGE OUT 3 TON H •. HAN E *UT 50.00 ;, S` #R N.,i s _ O tt, a DU N ALL D DUCTS INSULATED FINAL tt)--(3-nq REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Atbiltt R-12-6) 6eg-- air , 4 CONTRACTOR S ATURE PERMIT OFFI �R PERMIT PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received Phone Contact for Permitting 35i SoZ 1 -- 497 ,IulttIIIIIlIttLJI.I1 Owner's Name Maiir 51 (0 I ( Owner Phone Number 8213 17' 65/ Owner's Address 1 o. 5 D 14 m;11 1,r) Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 q 1 a 5 c 1d M 1 11 L1 LOT # SUBDIVISION V 4,111 f'1er Lh l 1 PARCEL ID# 1 2 --- 6 -',2 1 `O1 0 ©- -CCcc - 03ac (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR 1 1 COMM [ OTHER TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1 I STEEL n OTH 1 1 DESCRIPTION OF WORK C-410 o u' 4 /c 9s-fern BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. I 1 PLUMBING $ MECHANICAL $ 3 n 00 c o VALUATION OF MECHANICAL INSTALLATION 11 GAS I 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES n NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 Address License # l ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT l Y/ N 1 Address License # MECHANICAL J COMPANY Ch VIS / A 7C (OM- Lx SIGNATURE � REGISTERED 1 Y/ N I FEE CURRENT I I Y/ N I Address 1 a a 3g VS - ' l v ' V y 30( - 1 ) . C. License # C 460 5 05 7S 1 OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 13 � /7. �� OWNER OR AGENT ` / CONTRACTOR C Subscribed and sworn to (or affirmed) before m *Ala) sgnb nd sworn to (or affirmed) before me this (6 -(-0 by 'C7 by VVho is /are personal) nown to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. 'A' 1t'� V 'a9OGE8 Notary Public t "`� Notary Public dam '1 • K c . P con, isslo ` "' y' �r ?, 2010 Co ssio Co mission DO BO DD 621633 " ., , •,t . , ,,,,, Expires Decembe r 12, 7019 ... •' . o B ThN Troy Run Insurance 8003B�' Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped _C PROPOSAL 2479 CHRIS' A/C l k HIGH EFFICIENT HEATING & COOLING C O M P A N Y • CACO58575 DATE: / TO: NAME: PHONE # ADDRESS: CITY: STATE /ZIP: FURNISH AND INSTALL THE FOLLOWING EQUIPMENT AND MATERIAL. • STYLE AND SIZE AHU BREAKER STYLE AND SIZE COND. BREAKER ,. 1 YEAR PARTS & LABOR WARRANTY YEAR LABOR WARRANTY ON EQUIPMENT ONLY YEAR COMPRESSOR PART WARRANTY YEAR EQUIPMENT ONLY PARTS WARRANTY YEAR OUTDOOR COIL WARRANTY '' 5 YEAR DEPENDABILITY PROMISE PRICE: $ Price good for 30 days PAYMENT: UPON COMPLETION 50% ROUGH IN 50% UPON FINAL DRAWS SELLER RETAINS TITLE TO EQUIPMENT/MATERIALS UNTIL PAYMENT IS MADE. IF A PAYMENT IS NOT MADE AS AGREED, SELLER CAN REMOVE SAID EQUIPMENT/MATERIAL AT SELLER'S EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY OF SELLER. BUYER WILL BE SUBJECT TO RESTOCKING CHARGE IF JOB IS CANCELED. AGREED CHRIS' DATE BUYER DATE 12232 US HWY 301 DADE CITY, FL. 33525 PH. 352 -521 -4977 813 - 779 -9515 Pasco County Parcel: 12- 26 -21- 0100 - 00000 -0320 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, September 26, 2009 Parcel ID I 12- 26 -21- 0100 - 00000 -0320 (Card: 001 of 001) I Classification 01 - Single Family Mailing Address Property Value BROWN RONALD E SR & Ag Land $0 VICTORIA MARY ANN Land $14,778 39125 OLD MILL LN Building $99,592 ZEPHYRHILLS, FL 335428201 Physical Address Extra Features $1,974 39125 OLD MILL LN Market Value $116,344 ZEPHYRHILLS, FL 33542-8201 Assessed (Save Our Homes) $108,602 Legal Description (First 4 Lines) Homestead 196.031 $25,000 Non - School Additional Homestead Exemption - $25,000 See Plat for this Subdivision — SUMMER HILL SUBDIVISION Non - School Taxable Value $58,602 PB 31 PGS 38 -39 School District Taxable Value $83,602 LOT 32 Warning: A significant taxable value increase OR 5199 PG 134 may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line 11 Use IJDescriptionll Zoning II Units 0 Type II Price II Condition II Value I 1 II 0100 II SFR II 00R1 II 8,210.16 II 51 II $1.80 II 1.00 II $14,778 I Additional Land Information Acres II 0.19 II Tax Area II 30ZH 0 FEMA Code II X (IResidential CodeIJ SMHLLP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 2001 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line II Description II Sq. Feet II Repl. Cost New 1 II 1:35 II 1,350 II $96,255 2 II FGR II 480 II $13,690 3 II FOP II 40 II $713 Extra Features (Card: 001 of 001) Line II Description II Year II Units II Value 1 II DWSWC II 2001 II 513 II $1,129 2 II DCFENCE II 2001 II 970 I $845 Sales History Previous Owner 11 WHITEHILL VICKY L & Year II Month II Book /Page II Type II Amount 2003 II 01 II 5199 / 0134 II WD II $115,000 2001 II 12 II 4809 / 0738 0 WD II $105,000 2001 II 01 II 4519 / 1851 0 WD 1 $0 http: // appraiser. pascogov.com /search/parcel.aspx ?sec= 12 &twn= 26 &rng=21 &sbb= 0100 &b... 10/1/2009